Hudsonview Health Care Center

Inspectors wroteBased on interviews, medical records review, and review of other pertinent facility documentation on 01/14/2026 it was determined that the facility failed to report an allegation of mistreatment of a resident with severely impaired cognitive skills to the New Jersey Department of Health (NJDOH). This deficient practice was identified for 1 of 2 (Resident #2) residents reviewed for abuse and was evidenced by the following: Complaint #: 2680538 Resident #2 was not at the facility at the time of the survey. A closed record review was conducted. According to the admission Record (AR), Resident #2 was admitted to the facility with diagnoses which included but were not limited to: muscle wasting and atrophy (the loss or thinning of your muscle tissue), not elsewhere classified, multiple sites; Alzheimer's Disease; adult failure to thrive; history of falling; [...]

Inspectors wroteBased on the interview, medical record review, and review of other pertinent documentation, it was determined that the facility failed to ensure that residents who receive hemodialysis (HD, a medical procedure used to treat kidney failure) receive such services consistent with professional standards of practice for 3 of 3 residents (Resident #2, #11, and #220) reviewed for dialysis services. The deficient practice was evidenced by the following: 1. The surveyor observed Resident #2 seated in a wheelchair in the unit day room on 7/28/25 at 10:47 am. The resident was brought to their room by staff so that the surveyor could interview the resident in a private area. The surveyor interviewed the resident with the aid of an interpreter since the resident was non-English speaking. [...]

Inspectors wroteBased on observations, interviews, record review, and review of other facility documents, it was determined that the facility failed to provide pharmaceutical services in accordance with professional standards to ensure a.) quality control testing (calibration) was conducted for the blood glucose (bg) monitors, simultaneously used for residents, observed on two (2) of four (4) medication carts inspected, and identified for 7 of 7 medication carts; b.) timely receipt of medication (Sitagliptin, generic for Januvia a medication used to lower high blood sugar) for administration, and prevent borrowing from another resident's supply for one (1) of 8 residents observed during the medication administration. The evidence was as follows:1. [...]

Inspectors wroteBased on interviews and record review, it was determined that the facility failed to accurately code the Minimum Data Set (MDS, an assessment tool used to facilitate the management of care), in accordance with federal guidelines, for 2 of 35 residents (Resident #220 and #274), who were reviewed for accuracy for MDS coding. This deficient practice was evidenced by the following: 1. On 07/28/25 at 10:45 AM, the surveyor observed Resident #220 in bed, awake, alert, who stated that they came back from dialysis this morning and have been attending dialysis (treatment used when the kidneys fail to function correctly) for more than five years now. On 07/28/25 10:54 AM, the surveyor reviewed the hybrid medical record (paper and electronic) of Resident #220, which revealed the following: [...]

Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to follow a physician's order for an insulin medication and acceptable professional standards of practice for 1 of 35 residents reviewed. This deficient practice is evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as casefinding, health teaching, health counseling, and provision of care supportive to or restorative of life and wellbeing, and executing medical regimens as prescribed by a licensed or otherwise legally authorized physician or dentist. Reference: [...]

Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to properly store Controlled Substance medications (CDS) securely per regulations and standards of practice. This deficient practice was identified in one (1) of four (4) medication carts (med carts) observed in the facility. This deficient practice was evidenced by the following:Reference: New Jersey Statutes Annotated, Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a licensed practical nurse is defined as performing tasks and responsibilities within the framework of case finding; [...]

Inspectors wroteBased on interview, record review, review of the Centers for Disease Control and Prevention (CDC) guidelines, and facility policy review, the facility failed to offer one of five residents (Resident (R) 131) reviewed for flu/pneumonia vaccinations and/or their representatives, the opportunity for the resident to be vaccinated in accordance with nationally recognized standards out of a total sample of 55 residents. The facility failed to offer R131 the opportunity to be vaccinated with Pneumococcal 15-valent Conjugate Vaccine (PCV15) or one dose of Prevnar 20 (PCV20) in accordance with nationally recognized standards. This practice had the potential to increase the risk for this resident to contract pneumonia. In addition, the facility failed to ensure their pneumococcal policies reflected current CDC recommendations.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure that residents were free from the use of unnecessary side rails bars for one (Resident (R)209) out of two residents reviewed for physical restraints out of a total sample of 55 residents.

Inspectors wroteBased on record review, staff interview, and facility policy review, the facility failed to ensure that two hematomas observed on a resident's arm were reported to the state survey agency for one (Resident (R)83) out of three residents reviewed for abuse and neglect out of a total sample of 55 residents.

Inspectors wroteBased on observation, record review, staff interview, and facility policy review the facility failed to ensure that two hematomas observed on a resident's left arm were thoroughly investigated for one (Resident (R)83) out of three residents reviewed for abuse and neglect out of a total sample of 55 residents.

Inspectors wroteBased on interview, record review, and review of the RAI (Resident Assessment Instrument) manual, the facility failed to complete a significant change assessment for one of one resident (Resident (R) 109) reviewed for significant change out of a total sample of 55 residents after R109 was placed on hospice care.

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure residents with newly evident serious mental disorder was referred for a (Preadmission Screening and Resident Review (PASARR) level II evaluation for one of three sampled residents (Resident (R) 108) reviewed for PASARR. R108 received a serious mental disorder diagnosis after admission to the facility; however, the resident was never referred for a PASARR Level II evaluation. This failure had the potential to negatively affect the resident's mental and psychosocial wellbeing.

Inspectors wroteBased on observations, staff interviews, record review, and policy review, the facility failed to ensure weekly weights were ordered and/or obtained after a weight loss for one (Resident (R) 46) of five reviewed for nutrition out of a total sample of 55 residents. The facility failed to weigh the resident weekly for the first four weeks as directed by the Registered Dietician (RD).

Inspectors wroteBased on observations, staff interview, and facility policy review, the facility failed to ensure medications were stored in a locked storage area when left unattended for one of eight medication carts in the facility and failed to maintain medications in the original package delivered from pharmacy for two of eight medication carts.

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility staff failed to place signage on a resident's door notifying all who enter this was resident was in contact precaution isolation for one (Resident (R)13) of one resident reviewed for isolation precautions out of a total sample of 55 residents.

Inspectors wroteBased on observation and interview, it was determined that the facility failed to provide visual privacy during a physical examination for 1 of 35 residents reviewed, Resident # 180. The deficient practice was evidenced by the following: On 9/13/21 at 12:32 PM, the surveyor observed Resident #180 seated in a wheelchair wearing 2 facility gowns, in the dining room having lunch with other residents and staff in the dining area. On 9/13/21 at 12:35 PM, the surveyor observed the Nurse Practitioner (NP) enter the dining room to examine Resident #180. The NP was observed listening to the resident's heart and lungs with a stethoscope placed on top of the resident's facility gowns. The NP was also observed lifting Resident #180's facility gowns up to examine the resident's left leg, exposing the resident's left leg. On 9/13/21 at 12:40 PM, the surveyor observed the NP exit the dining area. [...]

Inspectors wroteBased on interview and record review, it was determined that the facility failed to complete and transmit a Minimum Data Set (MDS), in accordance with federal guidelines. This deficient practice was identified for 1 of 2 residents reviewed for resident assessment (Resident #4). This deficient practice was evidenced by the following: On 9/15/21 at 9:50 AM, the surveyor reviewed the facility assessment task that included the Resident's MDS Assessments. The MDS is a comprehensive tool that is federal mandated process for clinical assessment of all residents that must be completed and transmitted to the Quality Measure System. The facility must electronically transmit the MDS up to 14 days of the assessment being completed. On 9/15/21 at 9:57 AM, the surveyor reviewed Resident #4's electronic medical record. [...]

Inspectors wroteBased on interview and record review, it was determined that the facility failed to accurately complete the Minimum Data Set (MDS) for 1 of 35 residents reviewed, Resident # 218. This deficient practice was evidenced by the following: On 9/3/21 at 11:57 AM, the surveyor observed Resident #218 in the hallway seated in a Geri chair. The surveyor was unable to interview the resident as they did not speak to or acknowledge the surveyor. Resident #218 was nonverbal. The surveyor reviewed Resident #218's electronic medical record which revealed that the resident was admitted to the facility on [DATE] with diagnosis that included but were not limited to Dementia and Heart Failure. A review of the resident's MDS, an assessment tool used to facilitate the management of care, dated 7/30/21 reflected Resident #218 had a Brief Interview for Mental Status (BIMS) of 2. [...]

Inspectors wroteBased on observation and record review, it was determined that the facility failed to withhold a blood pressure medication when the Systolic Blood Pressure (SBP) parameters ordered by the physician indicated that the medication should not be administered. This deficient practice was identified for 1 of 1 resident reviewed for blood pressure monitoring and medication management, (Resident #148). The evidence was as follows: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. [...]

Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that the physician responsible for the care of residents conducted required face to face visits and documented progress notes at least every 60 days. This deficient practice continued over several months for 2 of 41 residents reviewed, Resident #22 and Resident #114. This deficient practice was evidenced by the following: 1. On 9/1/21 at 11:50 AM, the surveyor observed Resident #22 seated in a wheelchair in the day/dining room. The resident was not interviewable. The surveyor reviewed the admission Record Face sheet (ARFS) (one-page summary of resident information) for Resident # 22. The resident was admitted to the facility on [DATE] and readmitted on [DATE] with diagnosis that included but were not limited to Chronic Kidney Disease; Anemia; Hypertension; Hyperlipidemia; [...]